Individual
JOHN WARREN RUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 COMMERCE PLACE, CLARK, NJ 07066
(732) 499-0606
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MA72916
NJ
207Q00000X
Family Medicine Physician
Primary
MA072916
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009539
—
NJ
Enumeration date
09/16/2006
Last updated
10/10/2016
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